Zifukwa zosadziŵika bwino, ntchentche za bilezi zimatha kuwonjezereka, zomwe zimayambitsa matenda osokoneza bongo. Chodabwitsa ichi, choyamba chachikulu cha sclerosing cholangitis, chimaonedwa kuti ndi matenda okhaokha, chifukwa nthawi zambiri amatsatiridwa ndi matenda monga shuga, matenda a ulcerative , thyroiditis.
Zizindikiro za primary sclerosing cholangitis
Dziwani matenda omwe akufotokozedwa kumayambiriro oyambirira ndi osatheka, chifukwa akupita kwa nthawi yaitali popanda zizindikiro. Chithunzi cha kuchipatala chikuwonetseredwa ngakhale panthawi ya chiwopsezo cha chiwindi kapena matenda oopsa a chiwindi:
- kufooka kwakukulu;
- kuyabwa;
- kulemera kwa thupi;
- ululu ndi ululu mu hypochondrium yolondola;
- khungu lachikasu nthawi zonse (transitory jaundice);
- kuwonongeka kwa chilakolako;
- kawirikawiri - malungo.
Kuzindikira kwa primary sclerosing cholangitis
Kutsimikizira kukayikira kwa matendawa, kuphatikizapo kusonkhanitsa mbiri ndi kuyezetsa kuchipatala, kumachitika mothandizidwa ndi maphunziro otsatirawa ndi ma laboratory:
- biochemical, immunological kusanthula magazi;
- cholangiography;
- chiwindi;
- choyimira;
- elastography ya chiwindi;
- chotsitsa;
- ZOKHUDZA.
Chithandizo cha primary sclerosing cholangitis
Kuchiza matenda mwathunthu sikungatheke, mankhwala opangidwa ndi mankhwala amayesetsa kuchepetsa kukula kwa cholangitis ndi kusintha mkhalidwe wa wodwalayo. Zikuphatikizapo mankhwala awa:
- antispasmodics;
- glucocorticosteroid mahomoni;
- chithunzi;
- antifibrogenic agents;
- mavitamini a m'mimba;
- hepatoprotectors ;
- mankhwala osokoneza ubongo wa ursodeoxycholic.
Kuphatikiza apo, antihistamines ikhoza kutonthozedwa kuti athetsere pruritus.
Ngati kutsekemera kwa bile ndi kuperewera kwa mankhwala osamalidwa, opaleshoni ya chiwindi chimaperekedwa.